﻿@{
    ViewBag.Title = "ceacesmr";
}
<!DOCTYPE html>
<html>
<head>
    <meta name="viewport" content="width=device-width" />
    <title>通用病历</title>
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    <script src="~/Scripts/common.js?v=@(DateTime.Now.ToString("yyyyMMdd"))"></script>
    <script src="~/Areas/StrokeCenter/Scripts/Commonmr.js?v=@(DateTime.Now.ToString("yyyyMMddHHmmss"))"></script>
    <style>
        body {
            overflow-x: auto;
            margin: 5px;
            min-width: 900px;
        }

        .radio_label {
            display: inline-block;
            width: auto;
            height: 22px;
            background: url(/content/images/radiobutton.png) no-repeat;
            background-position: -13px -16px;
            text-indent: 22px;
            line-height: 22px;
        }

            .radio_label:hover {
                background-position: -13px -116px;
            }

        input[type=radio] {
            width: 0;
        }

        .checkbox_label {
            display: inline-block;
            width: auto;
            height: 22px;
            background: url(/content/images/checkboxbutton.png) no-repeat;
            background-position: -13px -16px;
            text-indent: 22px;
            line-height: 22px;
        }

            .checkbox_label:hover {
                background-position: -13px -116px;
            }

        .checked {
            background-position: -13px -216px;
        }

            .checked:hover {
                background-position: -13px -216px;
            }

        input[type=checkbox] {
            width: 0;
        }
    </style>
</head>
<body>
    <form method="post" id="formSubmit">
        <div class="l-loading" style="display: none;" id="pageloading">
        </div>
        <div class="topPosition">
            <div style="float:left;font-size:13px;">
                <div style="float:left; margin-left:20px;">
                </div>
            </div>
            <div style="float:right;margin-right:10px;">
                <input type="hidden" id="hdnPatientId" value="@ViewBag.PatientId" />
                <input id="btnHisback" type="button" value="返回" class="l-button" style="height:26px;" />
                <input id="btnTimeLine" type="button" value="时间轴" class="l-button" style="height:26px;" />
                <input id="btnTimePath" type="button" value="时间路径" class="l-button" style="height:26px;" />
                <input id="btnDel" type="button" value="删除" class="l-button" style="height:26px;" />
                <input id="btnSave" type="button" value="保存" class="l-button" style="height:26px;" />
            </div>
        </div>
        <div style="height:100%;">
            <div class="lift-nav">
                <ul class="lift">
                    <li>基本信息</li>
                    <li>入院评估</li>
                </ul>
            </div>
            <div class="lift-target">
                <div class="t0" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>基本信息</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">姓名：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPATIENT_NAME" name="txtPATIENT_NAME" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    性别：
                                    <label><input class="l-radio" type="radio" id="rdoPATIENT_SEX1" name="rdoPATIENT_SEX" value="1" />男</label>
                                    <label><input class="l-radio" type="radio" id="rdoPATIENT_SEX0" name="rdoPATIENT_SEX" value="0" />女</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">身份证：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPATIENT_ID_NUM" name="txtPATIENT_ID_NUM" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">医疗付款方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type0" name="rdoPatient_Pay_Type" value="0" />城镇职工基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type1" name="rdoPatient_Pay_Type" value="1" />城镇居民基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type2" name="rdoPatient_Pay_Type" value="2" />新型农村合作医疗</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type3" name="rdoPatient_Pay_Type" value="3" />贫困救助</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type4" name="rdoPatient_Pay_Type" value="4" />商业医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type5" name="rdoPatient_Pay_Type" value="5" />全公费</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type6" name="rdoPatient_Pay_Type" value="6" />全自费</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type7" name="rdoPatient_Pay_Type" value="7" />其他社会保险</label>
                                    <label><input type="radio" class="l-radio" id="rdoPatient_Pay_Type8" name="rdoPatient_Pay_Type" value="8" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">发病时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtEMS_DISEASE_TIME" name="txtEMS_DISEASE_TIME" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    呼救时间： <input type="text" id="txtHelpTime" name="txtHelpTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">到院时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtEMS_ARRIVEDOOR_TIME" name="txtEMS_ARRIVEDOOR_TIME" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    首次医疗接触时间：： <input type="text" id="txtContact_Time" name="txtContact_Time" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">来院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoPATIENT_ARRIVE_CLASS" id="rdoPATIENT_ARRIVE_CLASS0" value="0" />本院急救车</label>
                                    <label><input type="radio" class="l-radio" name="rdoPATIENT_ARRIVE_CLASS" id="rdoPATIENT_ARRIVE_CLASS1" value="1" />当地120</label>
                                    <label><input type="radio" class="l-radio" name="rdoPATIENT_ARRIVE_CLASS" id="rdoPATIENT_ARRIVE_CLASS2" value="2" />外院转院</label>
                                    <label><input type="radio" class="l-radio" name="rdoPATIENT_ARRIVE_CLASS" id="rdoPATIENT_ARRIVE_CLASS3" value="3" />自行来院</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院途径：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;margin-left:0px;">
                                    <label><input class="l-radio" type="radio" name="rdoAdmissionPath" id="rdoAdmissionPath0" value="0" />急诊</label>
                                    <label><input class="l-radio" type="radio" name="rdoAdmissionPath" id="rdoAdmissionPath1" value="1" />门诊</label>
                                    <label><input class="l-radio" type="radio" name="rdoAdmissionPath" id="rdoAdmissionPath2" value="2" />其他医疗机构转入</label>
                                    <label><input class="l-radio" type="radio" name="rdoAdmissionPath" id="rdoAdmissionPath3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t1" style="margin-top:30px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>入院评估</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">身高(cm)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPatient_Height" name="txtPatient_Height" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体重(kg)： <input type="text" id="txtPatient_Weight" name="txtPatient_Weight" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    BMI(kg/㎡)： <input type="text" id="txtPatient_BMI" name="txtPatient_BMI" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">收缩压(mmHg)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPatientBloodH" name="txtPatientBloodH" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    舒张压(mmHg)： <input type="text" id="txtPatientBloodL" name="txtPatientBloodL" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    脉搏(次/分)： <input type="text" id="txtPATIENT_PULSE" name="txtPATIENT_PULSE" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">血氧饱和度(%)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtAssessment_Oxygen" name="txtAssessment_Oxygen" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    呼吸(次/分)： <input type="text" id="txtPATIENT_BREATHE" name="txtPATIENT_BREATHE" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体温(°)： <input type="text" id="txtAssessment_BodyTemperature" name="txtAssessment_BodyTemperature" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: right;">意识：</td>
                            <td colspan="4">
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label for="chkPATIENT_CONSCIOUSNESS0">
                                        <input type="checkbox" id="chkPATIENT_CONSCIOUSNESS0" name="chkPATIENT_CONSCIOUSNESS" value="0" />&nbsp;清醒
                                    </label>
                                    <label for="chkPATIENT_CONSCIOUSNESS1">
                                        <input type="checkbox" id="chkPATIENT_CONSCIOUSNESS1" name="chkPATIENT_CONSCIOUSNESS" value="1" />&nbsp;对语言有反应
                                    </label>
                                    <label for="chkPATIENT_CONSCIOUSNESS2">
                                        <input type="checkbox" id="chkPATIENT_CONSCIOUSNESS2" name="chkPATIENT_CONSCIOUSNESS" value="2" />&nbsp;对刺痛有反应
                                    </label>
                                    <label for="chkPATIENT_CONSCIOUSNESS3">
                                        <input type="checkbox" id="chkPATIENT_CONSCIOUSNESS3" name="chkPATIENT_CONSCIOUSNESS" value="3" />&nbsp;对任何刺激无反应
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: right;vertical-align:top;margin-top:5px;">主诉及症状：</td>
                            <td colspan="4">
                                <div style="float:left;height:35px;line-height:35px;">
                                    <textarea id="txtAssessment_Illness" rows="2" cols="80" class="l-textarea" maxlength="100"></textarea>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院mRS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoAssessment_MRS_Bool" id="rdoAssessment_MRS_Bool1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdoAssessment_MRS_Bool" id="rdoAssessment_MRS_Bool0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;display:none;" id="divAssessment_MRS_Bool1">
                                    评分分数： <input type="text" id="txtAssessment_MRS_Score" name="txtAssessment_MRS_Score" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院GCS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoAssessment_GCS_Bool" id="rdoAssessment_GCS_Bool1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdoAssessment_GCS_Bool" id="rdoAssessment_GCS_Bool0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;display:none;" id="divAssessment_GCS_Bool1">
                                    评分分数： <input type="text" id="txtAssessment_GCS_Score" name="txtAssessment_GCS_Score" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">吞咽功能评估：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoAssessment_Swallowing_Bool" id="rdoAssessment_Swallowing_Bool1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoAssessment_Swallowing_Bool" id="rdoAssessment_Swallowing_Bool0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;display:none;" id="divAssessment_Swallowing_Bool1">
                                    洼田饮水实验： <input type="text" id="txtAssessment_Swallowing_Content" name="txtAssessment_Swallowing_Content" class="l-text" />
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
            </div>
        </div>
    </form>
</body>
</html>
